The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 2: Overview of Clinical IssuesFigure 2-3: Evolution of HIV Treatment Paradigms 1981 - 200126 picasToxicityResistanceCo-morbidities?CurativeBerlin AIDSConferenceConcorde TrialIntroductionof ProteaseInhibitors,AdditionalNRTI’s/NNRTI’sTherapeutic ParadigmIntroduction ofAdditional NRTIsand NNRTIsIntroduction of AZT ACTG 076First AIDSCases Reportedby CDCPalliative1981 1987 1993 1994 1996 1997 1998 1999 2000 2001patient and provider can interact in ways that emphasize the totality of care and not merelyadherence to recommended antiretroviral regimens.Rather than the false dichotomy of either curative or palliative care, this guide is suggestingthat both approaches need to be considered throughout the course of HIV disease. This integratedapproach is represented graphically in Figures 2-4a and 2-4b. Rather than the simple and10U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau
A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 2: Overview of Clinical IssuesFigure 2-4a: Traditional Dichotomy of Curative andPalliative Care for Incurable Illness.26 picasIISource: World Health Organization. Cancer Pain Relief and Palliative Care, Report of a WHO Expert Committee.Publication #1100804. Geneva: World Health Organization, 1990.Figure 2-4b:Integrated Model Including Both Curative and Palliative Carefor Chronic Progressive IllnessSource: World Health Organization. Cancer Pain Relief and Palliative Care, Report of a WHO Expert Committee.Publication #1100804. Geneva: World Health Organization, 1990.U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau 11
Page 4 and 5: DedicationA Clinical Guide to Suppo
Page 6 and 7: Lynn A Jansen, RN, PhDAssistant Res
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Chapter 14.26 picasCulture and Care
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DRUGS AND THERAPIES INDEXNOTES: Ent
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The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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